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International Journal of Bioprinting              Gelatin-PVA crosslinked genipin bioinks for skin tissue engineering


            4. Discussion                                      indicated that most of the bioinks were printed at the lower
                                                               printing temperatures, and 23 C was selected as the most
                                                                                       o
            Tissue engineering using 3D bioprinting technology  help   optimum  printing  temperature  for  the  extrusion-based
            constructs biological structures that highly mimic native   bioprinting . In addition, low printing temperatures are
                                                                        [40]
            tissue. It is an authentic bioconvergence strategy before   required to extrude low-viscosity bioinks to allow consistent
            the establishment in future personalized or precision   deposition  of bioinks. In this study,  the viscosity  of the
            medicine applications. One of the main advantages of 3D   GPVA  bioinks  increased  with  the  addition of PVA and
            bioprinting is the ability to include various bioinks or cell   crosslinker (GNP). This finding was similar to that in a
            mixtures into specific spatial orientations or layers in the   previous study by Yang et al., which showed that the addition
            printed hydrogels . In addition, this printing technology   of PVA significantly affects the viscosity of gelatin hydrogels,
                          [33]
            will enable live cells to react appropriately to the 3D-printed   that is, the viscosity of the gelatin solution increased as the
                  [34]
            designs . The revolutionary idea behind this biomatrix is   concentration of PVA increased . Therefore, the addition
                                                                                        [41]
            to employ it as a one-time post-implantation cellular skin   of PVA and GNP into the bioinks was able to support the
            replacement. The  hydrogels will  progressively degrade  on   printability of the bioinks at room temperature.
            the injury site, followed by the regeneration of new tissue.   Next, the physical properties were used to evaluate
            Briefly, the encapsulation of cells in the bioinks with a layer-  the performance of the desired hydrogel. Developing a
            by-layer bioprinting concept is thought to encourage cell
            proliferation, accelerating the healing process. Therefore, this   biodegradable hydrogel for wound healing application is
                                                               highly desired to allow it to be degraded at an appropriate
            study aimed to use extrusion-based bioprinting technology   timeline following new  tissue regeneration.  Since rapid
            to develop a functional cellular skin replacement that fits   wound closure is necessary to prevent infection, the
            the intended wound shapes and sizes using the formulated
            bioinks composed of natural (GE) and synthetic-based   designated hydrogels must not be degraded for at least
            polymers (PVA) crosslinked with GNP, a natural crosslinker.  14 days before wound healing applications in the in vivo
                                                               model . A study by Zandi  et al. suggested that in vivo
                                                                    [42]
            4.1. Physical properties of hybrid bioinks         models could achieve 90% wound closure after treatment
                                                                                        [43]
                                                               with bioscaffolds for 2  weeks . The GPVA hydrogels
            A printable biomaterial should have great printing resolution   possessed an acceptable biodegradation rate for future
            and excellent shape fidelity for irregular wound shape and   wound healing applications. For comparison, crosslinked
            facilitate surgeon handling. Brittle and soft hydrogel will   gelatin hydrogels with the addition of PVA enable prolonged
            limit surgical handling . Moreover, the consistent flow of
                              [35]
            bioinks, which allows repeatable deposition of bioinks is a   durability as compared to GE_GNP hydrogel only. This
                                                               finding was similar with a previous study by Hezaveh &
            key feature of printed biomaterials . In general, multiple   Muhamad, which indicated that utilizing genipin in the
                                        [36]
            deposition layers of bioinks will influence the geometrical   hydrogels can prevent it from bursting in order to control
            accuracy and structural integrity. As more layers are stacked,   its durability . Thus, raising the concentration of PVA
                                                                         [44]
            the shape accuracy decreases as compared to a single layer
            of hydrogel. A previous investigation by De Stefano et al. on   and crosslinker will slow down the biodegradation rate
                                                               of the hydrogels at the injury site. In addition, a previous
            the multiple layers of bioinks depositions yielded the results   study by Mahnama et al. has proven that gelatin hydrogels
            similar to our findings, in which the shape fidelity of the   incorporated with PVA in higher ratio have the slowest
            multilayer hydrogels was significantly reduced by 6 layers                   [45]
            of square printed grids compared to the single layer . As   biodegradation rate after 27 days .
                                                     [37]
            a result, the printed filaments tended to collapse and merge   Besides, in wound healing application, one of the
            between each other. Besides, a printable bioinks should have   characteristics that contributed to the skin’s barrier
            an optimum printing temperature and viscosity to preserve   function is surface wettability. The hydrophilic properties
            cell viability for extrusion-based bioprinting technique.   of the hydrogels were confirmed through contact angle
            Basically, the optimization of the printing temperature is   analysis, which showed that all printed GPVA hydrogels
            depending on the viscosity of the hydrogels. Since the sol-  possessed hydrophilic properties that may be caused
            gel temperature for gelatin-PVA is low, our study revealed   by  the  hydrophilic  nature  of  gelatin  and  PVA  polymer.
            the same findings as in previous studies by Chimene et al.   However, the incorporation of PVA into gelatin hydrogels
            and Shie et al., in which they recommended that excellent   reduced the hydrophilicity of the printed hydrogels. This
            structural fidelity could be achieved by printing the intended   finding was similar with a previous study by Cheng et al.,
            bioinks at room temperature (23 ± 2°C) as compared to 25   which indicated that the hydrophilicity of the gelatin-PVA
                                                                                                           [46]
            ± 2°C and 19 ± 2°C [38,39] . Moreover, our findings also can   hydrogels was relatively lower than gelatin hydrogels .
            be supported by a previous study by Ding & Chang, which   Hydrophilicity of bioinks is a crucial characteristic that

            Volume 9 Issue 3 (2023)                        435                         https://doi.org/10.18063/ijb.677
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